Journal
CLINICS IN PODIATRIC MEDICINE AND SURGERY
Volume 41, Issue 1, Pages 73-101Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.cpm.2023.06.003
Keywords
Ankle trauma; Osteopenia; Osteoporosis; Geriatric; Elderly; Diabetes
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Deficiencies in bone strength, fracture healing, soft tissue resilience, and host comorbidities present challenges for treating unstable ankle fractures in elderly and diabetic patients. However, satisfactory outcomes can be achieved through rational application of internal fixation principles and early cast or brace protected weight bearing in select patient groups.
Deficiencies in bone strength, fracture healing, soft tissue resilience, and host comorbidities in elderly and diabetic patients create significant challenges for the treatment of unstable ankle fractures. Patients in these high-risk groups should not be managed in the same manner as their healthy counterparts. Our experience with the treatment of these patients demonstrates satisfactory and predictable outcomes with the rational application of internal fixation principles and early cast or brace protected weight bearing in select patient groups.
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